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KEVIN P. CLARK SR. LCSW-R
NPI 1497376958
Social Worker - Clinical in Goshen, NY

Active since May 06, 2020
30 HARRIMAN DR, GOSHEN, NY 10924(845) 291-2142 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin P. Clark Sr. Lcsw-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN P. CLARK SR. LCSW-R (NPI 1497376958) is an individual clinical provider in Goshen, New York, licensed in New York (R-049202-1) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1497376958
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEVIN P. CLARK SR.Credential: LCSW-R
Location Address30 HARRIMAN DRGoshen, NY 10924-2410
Mailing Address30 Harriman DrGoshen, NY 10924-2410 · (845) 291-2142
Phone(845) 291-2142
Sole ProprietorYes
Enumeration DateMay 6, 2020
NPPES CertifiedMay 6, 2020
✔ NPI 1497376958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · R-049202-1
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
30 HARRIMAN DR, Goshen, NY 10924
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAITLIN ANNE NOVIELLI
Social Worker
30 HARRIMAN DR
GOSHEN, NY 10924
Orange County (845) 291-2600
MRS. CHELESA TAYLOR LCSW
Social Worker
30 HARRIMAN DR
GOSHEN, NY 10924
Orange County (845) 291-2607
COUNTY OF ORANGE
Clinic/Center (Mental Health (Including Community Mental Health Center))
30 HARRIMAN DR
GOSHEN, NY 10924
Orange County (845) 291-2600
ANGELA TURK
Social Worker (Clinical)
30 HARRIMAN DR
GOSHEN, NY 10924
Orange County (845) 291-2610
SHANNON CURTIN MSW
Social Worker
30 HARRIMAN DR
GOSHEN, NY 10924
Orange County (845) 545-2774
CHLOE EVELYN LAMB MSW
Social Worker
30 HARRIMAN DR
GOSHEN, NY 10924
Orange County (845) 500-0116
JAMIE BECK
Social Worker
30 HARRIMAN DR
GOSHEN, NY 10924
Orange County (845) 291-2600
GABRIELLA SERWATIEN LMSW
Social Worker
30 HARRIMAN DR
GOSHEN, NY 10924
Orange County (845) 717-2510

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Clark's NPI number?

The NPI number for Kevin Clark is 1497376958. It was assigned to this individual provider in the NPPES registry on May 6, 2020.

Where is Kevin Clark located?

Kevin Clark practices at 30 Harriman Dr, Goshen, NY 10924. The listed phone number is (845) 291-2142.

What is Kevin Clark's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kevin Clark was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.